Inquiries

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#555555" TEXT="#080000" background="1be78983.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Quiltsmith</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Quiltsmith"><B>home</B></A></div> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Quiltsmith">Quiltsmith Home Page</A>   |   <A HREF="site_map.htm" TARGET="_top" TITLE="Site Map">Site Map</A>   |   <B>Inquiries</B>   |   <A HREF="links.htm" TARGET="_top" TITLE="Links">Links</A></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#555555" TEXT="#080000" background="1c17a982diriop.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE="Quiltsmith">Quiltsmith</A></div> <div> <A HREF="site_map.htm" TARGET="_top" TITLE="Site Map">Site Map</A></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b70118ffffff00.png" HEIGHT="19" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Inquiries</B></div> <div> <A HREF="links.htm" TARGET="_top" TITLE="Links">Links</A></div> <div> <B><IMG SRC="3b1b0580.jpg" border=0 width="176" height="88" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> </td> <td valign="top" height=390 width="100%" style=" border-top: 4px solid #CC9999; border-left: 4px solid #CC9999;" BGCOLOR="#C0DCC0" TEXT="#080000" bgproperties="fixed" background="3d180803.gif"> <div> <B><IMG BORDER="0" SRC="Symb075c00b700f066003300.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">To contact Quiltsmith by mail or telephone, please download this form (requires Adobe Acrobat </B><B>Reader </B><FONT SIZE="4" COLOR="#660000" FACE="Arial" ><B>©</B></FONT><B>):</B> <FONT SIZE="3" COLOR="#000000" FACE="Arial" ><I><B> <a href="HTMLobj-913/Mailinquiry.pdf"><u>Mail Inquiry PDF Form</u> </a>  </B></I><I><B>.</B></I></FONT></div> <bR> <div> <B><IMG BORDER="0" SRC="Symb075c00b700f066003300.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">To contact Quiltsmith from this page, please fill in the following fields and click the "Send" button:</B></div> <bR> <div> <B> <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="firstName,lastName,email,company,address1,address2,city,state,zip,phone,fax,mailingList,comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your comments about Quiltsmith. If you sent a request for information, we will reply within three business days."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A Quiltsmith Visitor form was submitted"><input type="hidden" name="tlx_EmailTo" value="csmithsmithusa@netscape.net"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name: <br> <input type="text" name="firstName" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Last Name: <br> <input type="text" name="lastName" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Email Address: <br> <input type="text" name="email" size="40" maxlength="100"> </td> </tr> <tr> <td align="left">Company (if relevant): <br> <input type="text" name="company" size="40" maxlength="100"> </td> </tr> <tr> <td align="left">Number and Street (optional): <br> <input type="text" name="address1" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Address Line 2 (optional): <br> <input type="text" name="address2" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">City (Optional): <br> <input type="text" name="city" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">State (optional): <br> <input type="text" name="state" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Zip (optional): <br> <input type="text" name="zip" size="10" maxlength="10"> </td> </tr> <tr> <td align="left">Phone Number (Optional: for commissioning a quilt): <br> <input type="text" name="phone" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">Fax Number (optional): <br> <input type="text" name="fax" size="14" maxlength="14"> </td> </tr> <tr> <td> <input type="checkbox" name="mailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Comments: <br> <textarea name="comments" rows="5" cols="40"></textarea> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </B></div> <bR> <bR> </td> </tr></table></body>